pia_request.pdf
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This is the Centreville Police Department Records Request Form used to request police reports or body‑worn camera footage. The form collects requester contact details, incident information, and delivery preference, and it includes internal‑use fields to track receipt, release decisions, dates, and approval. It notes that closed cases are generally available but juvenile information is not released unless the juvenile is charged as an adult, sets a typical processing timeframe of 7–10 business days (up to 30 days if more time is required), and lists fees ($10 per report by email, $25 per report by certified mail, $75 for body‑worn camera video with an additional $10 per minute for footage over one hour).
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Centreville Police Department RECORDS REQUEST FORM NOTE: Generally, once a case is closed and no longer being investigated, the report and records are available for inspection. Additionally, under Maryland law, we are unable to release juvenile information, unless the juvenile is charged criminally as an adult. All requests will be reviewed and if approved, typically will be forwarded within 7-10 business days. However, if more time is required to fulfill the request, it shall not exceed a period of 30 days from the initial request for records. FEES: - $10 per report via email $25 per report via certified mail - $75 per Body Worn Camera Video Evidence videos that have a total run time of over an hour is subject to an additional fee of $10 per minute. Type of record requested: Police Report ☐ Body Worn Camera Footage ☐ Please complete the following contact information: Name: _________________________________________ Date: _________________________ Address: ___________________________________________________________________________ Phone #: ___________________________ Email: ____________________________________ How would like to receive the records? US Mail – Address Above Pick up in person, when notified Email Incident Date: _____________________________ Incident Time (Approx.): ________________ Incident/Case #: ______________________________________ Incident Type: _____________________________________________________ Incident Location: ____________________________________________________________________ Investigating Officer: ____________________________________________ FOR INTERNAL USE: Date Received: ______________________________ Time Received: _____________________ Received via: US Mail (Attach Envelope to request) In Person Email/Electronically Received by: _________________________________________ Records Released: Yes No, provide reason: ____________________________________ Date Released/Sent: ______________________________ Release Approved by: __________________________________________________________________ PIA From 10/29/2024